Individual
PHERNYA TEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2814 S US HIGHWAY 1, SUITE D-4, FORT PIERCE, FL 34982-8120
(469) 398-9708
Mailing address
3590 NW TREASURE COAST DR APT 101, JENSEN BEACH, FL 34957-4480
(469) 398-9708
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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